Senior Disability Claims Examiner
Prudential Financial
full-time
Posted on:
Location Type: Hybrid
Location: Portland • California • Colorado • United States
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Salary
💰 $61,700 - $101,900 per year
Job Level
About the role
- Provide concierge-level customer service to one of Group Insurance’s largest clients
- Take a consultative approach in guiding and coaching our client’s employees through the life cycle of a disability claim
- Deliver world-class service that ensures a more effortless experience for the employee
- Engage Expert Resources to further enhance the claim journey, addressing Behavioral Health and Vocational opportunities within their block of claims
- Interact directly with the Leave team at the client during quarterly virtual meetings
- Interface daily with the client’s Benefits Business Partners
- Seek out opportunities to further enhance the claimant experience
- Serve as an ambassador for continuous process improvement within the Concierge Team
- Oversee a block of complex claims, including those with co-morbidities, behavioral health issues, and self-reported symptoms
Requirements
- 3+ years of LTD experience is required
- STD claim handling and Life Waiver of Premium experience and/or understanding is preferred
- Expert-level, proactive communication skills using a variety of pathways including telephone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls to deliver exceptional, white-glove service to the customer
- An energetic customer focus evidenced through maintaining customer relationships
- Confidence in communicating with highly skilled and highly educated claimants in the software industry
- Ability to interact confidently with attorneys and specialty medical professionals such as Psychiatric providers
- Excellent documentation skills to capture the essence of telephone conversations and to establish clear, concise claim plans
- Ability to comprehend and interpret complex and non-standard policy and plan provisions
- Strong ability to independently work through ambiguous situations and adjust course quickly when needed
- Advanced math skills with the ability to perform financial calculations related to salary and incentives, partial disability calculations, RTW incentives, and offsets
- Provides technical direction to other claims personnel as needed
- Excellent organizational and time management skills
- Demonstrated teamwork skills and ability to leverage resources to attain goals
Benefits
- Medical, dental, vision, life insurance, disability insurance
- Paid Time Off (PTO)
- leave of absences, such as parental and military leave
- 401(k) plan with company match (up to 4%)
- Company-funded pension plan
- Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs
- Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development
- Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs
- Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service
- Eligibility to participate in a discretionary annual incentive program that may depend on individual and organizational performance.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
LTD experienceSTD claim handlingLife Waiver of Premiumdocumentation skillsfinancial calculationspartial disability calculationsRTW incentivesoffsetsprocess improvementclaim management
Soft Skills
customer serviceproactive communicationcustomer focusconfidenceorganizational skillstime managementteamworkconsultative approachproblem-solvingadaptability